妊高征产前母亲自我保健管理程序的应用

H. Elbana, R. S. A. Elhady, H. Mohammed
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引用次数: 1

摘要

妊娠并发症是孕产妇和新生儿发病率和死亡率的重要因素。本研究旨在评估自我护理管理程序在妊高征(PIH)产前母亲中的应用效果。该研究采用了准实验设计。该研究在埃及Benha大学医院的门诊进行。基于一个有目的的样本,包括67名被诊断为妊娠高血压的孕妇。为了收集数据,使用了两种工具,一种是结构化访谈问卷,另一种是自我保健报告实践评估。数据分析显示,超过四分之三(80.6%)的孕妇对PIH自我护理知识不正确,干预前仅有37.3%的孕妇知识得分充足,干预后这一比例上升至77.6%。此外,干预前后与妊娠高血压相关的总自我保健行为得分差异有高度统计学意义(p<0.001)。此外,研究妇女在干预前和干预后的总知识和实践得分之间存在高度统计学差异(p <0.001)。自我保健管理程序的使用极大地提高了怀孕参与者对妊娠高血压管理的知识和自我保健实践。目前的研究表明,孕妇应该更多地了解妊娠问题,包括妊娠高血压及其对母婴健康的相关影响,以及更好地了解自我保健管理。
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Self-Care Management Program Utilization among Antenatal Mothers with Pregnancy-Induced Hypertension
Pregnancy complications contribute considerably to maternal and newborn morbidity and mortality. The present study aimed to evaluate the effect of self-care management program utilization among antenatal mothers with pregnancy-induced hypertension (PIH). The study used a quasi-experimental design. It study was carried out in the out-patient clinic in Benha university hospital, Egypt. Based on a purposive sample, 67 pregnant women diagnosed with pregnancy-induced hypertension were included. To collect the data, two instruments were used, a structured interviewing questionnaire, and self-care reported practice assessment. The analysis of data revealed that more than three quarters (80.6% of pregnant women) had incorrect knowledge about self-care of PIH and only 37.3 % of pregnant women had adequate knowledge score at pre-intervention that increased to 77.6 % in post-intervention. Additionally, a highly statistically significant difference was revealed between total self-care practices scores related to pregnancy-induced hypertension before and after intervention (p<0.001). Also, a highly statistical difference was revealed between total knowledge and practice scores of studied women at pre and post-intervention (p <0.001).  The utilization of a self-care management program highly improved pregnant participants’ knowledge and their self-care practice regarding the management of pregnancy-induced hypertension. The current study suggested that pregnant women be made more aware of pregnancy problems, including pregnancy-induced hypertension and its related impacts on mothers and fetal health, as well as a greater understanding of self-care management.
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